- Cognizant (Trenton, NJ)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
- CVS Health (Trenton, NJ)
- …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... work schedules will include weekends, holidays, and evening hours._ + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
- US Tech Solutions (Hopewell, NJ)
- …**Additional licensing, certifications, registrations:** 1. Requires an active New Jersey Registered Nurse License. **Knowledge:** - Prefers proficiency in the ... care management as assigned by management.** **Responsibilities:** 1. Assesses patient's clinical need against established guidelines and/or standards to ensure that… more
- CVS Health (Trenton, NJ)
- …**Must be able to work an Eastern Standard Time schedule** **Must be a licensed Registered Nurse , any compact licensure must cover New Jersey** + Utilization ... in New Jersey or Compact RN License + 3+ years of clinical experience + Utilization Management is a 24/7 operation and work schedule may include weekends,… more
- CVS Health (Trenton, NJ)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult inpatient… more
- Fresenius Medical Center (Staten Island, NY)
- …applicable federal, state and local laws and regulations. * Ensures all FMS Clinical Quality policies and procedures are communicated to and implemented by the ... the multidisciplinary renal team. Communicates changes in patient status regarding clinical , insurance, travel and transportation issues to the disease management… more
- Fresenius Medical Center (Staten Island, NY)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Weill Cornell Medical College (New York, NY)
- …physician. The role and responsibilities extend beyond those of the Registered Nurse and are focused on providing advanced clinical services. This role is ... clinical care responsibilities that fall under the Registered Nurse role and scope of practice....staff. Provides education and training to RNs in the utilization of new equipment features/benefits and new techniques. +… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- Summary The Informaticist Registered Nurse (RN) exercises leadership in the assessment, planning, implementation and evaluation of hardware and software ... and change management. Functions or Scope of Assigned Duties: The Informaticist Registered Nurse (RN) exercises leadership in the assessment, planning,… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- …certification in Mental Health or Psychiatry Nursing 2-3 years as a mental health outpatient registered nurse in an acute care medical center and/or 2-3 years in ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- Veterans Affairs, Veterans Health Administration (East Orange, NJ)
- …coordinated care. Possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical ... Experience. Reasonable comfort level in reviewing consults and exercising clinical judgement based on set guidelines. VA offers a...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- …Former EDRP participants ineligible to apply. Responsibilities Interventional Radiology (IR) Registered Nurse (RN) is responsible for providing competent, ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- Veterans Affairs, Veterans Health Administration (East Orange, NJ)
- …Required Documents below. The East Orange VA Medical Center is looking for an experienced Registered Nurse with a focus on Population Health. This nurse is ... reporting of consult trends and systems issues through the utilization of the nursing process. Collaborate with the interdisciplinary...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Centene Corporation (New York, NY)
- …of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Mount Sinai Health System (New York, NY)
- …4pm-12am** The Nurse Clinician is a registered professional nurse who demonstrates expert clinical expertise through advanced knowledge and skills ... role. Licensing and Certification Requirements: CWOCN Issued by WOCNB License: Registered Nurse (current registration) Issuing Agency: DOH/Office of Professions… more
- RWJBarnabas Health (Newark, NJ)
- Asst Director Patient Care Registered Nurse (RN) Full Time Days CTICUReq #:0000204650 Category:Nursing Management / Leadership Status:Full-Time Shift:Day ... including per hour rounding standards and regulatory readiness. Ensures excellence in clinical nursing practice and delivery of safe patient care by; monitoring the… more
- CVS Health (Bridgewater, NJ)
- …hires upon achieving proficiency in the role. **Required Qualifications** + Active, unrestricted ** Registered Nurse (RN) license in New Jersey** . + Minimum of ... high-quality, cost-effective care for our members. These strategies encompass utilization management, quality improvement, network coordination, and clinical … more
- Chatham Hills Subacute Care Center (Chatham, NJ)
- Schedule . 5 days a week 37.5 - 40 hours per week Respiratory Nurse (RN) We are searching for a highly motivated, flexible, organized, skilled respiratory therapist ... patient needs and uses current treatment knowledge in accordance with facilities clinical procedures. This includes but is not limited to: . Performing accurate,… more
- Centene Corporation (New York, NY)
- …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required + For ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more